Individual
MICHAEL TRAVISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., PSYCHOLOGIST
Contact information
Practice address
100 COMMERCE DR STE 300, NEWARK, DE 19713-2878
(302) 224-1400
Mailing address
100 COMMERCE DR STE 300, NEWARK, DE 19713-2878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1780
SC
103T00000X
Psychologist
Primary
B1-0011432
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1-0011432
STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION
DE
Enumeration date
05/05/2020
Last updated
08/28/2025
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